Page 164 - July-August 2020
P. 164

dimensional chart. The test relies
          on colour dissociation using red/   MADDOX ROD IS A
          green complementary filters. This   HANDHELD CLINICAL
          maximises the ocular deviation. A red   ORTHOPTIC INSTRUMENT
                                              WHICH CONSISTS OF
          target is illuminated or projected at   A GROUP OF RED
          the juncture where each tangent line   CYLINDRICAL RODS THAT
          crosses. A green light is projected by   CONVERTS A WHITE
          the patient and each plot is recorded.   POINT SOURCE OF LIGHT
          The test is repeated for the opposite   INTO A RED LINE THAT
          eye resulting in a chart showing    IS PERPENDICULAR
          an inner and outer range of ocular   TO ITS AXES
          rotation for each eye.
          LEES SCREEN                       each other. The screen is used to
                                            obtain the same information about
             This apparatus is also based on   incomitant strabismus but by using
          the principle of providing dissociation  a different method of dissociation.
          but does not utilise coloured filters   The mirror prevents both the eyes
          for the purpose. This instrument   from viewing the same screen
          is essentially a twin-screen where   simultaneously, although the patient
          the two screens are placed rigidly   perceives both images seen by   projected straight ahead.
          and permanently at right angles to   the fovea of each eye as if they are   VISUOSCOPE

                                                                                  This instrument is used to detect
                                                                               amblyopia with eccentric fixation.
                                                                               The Visuoscope is a type modified
                                                                               ophthalmoscope that is provided
                                                                               with a disc which can be brought in
                                                                               front of the lighting so that a star can
                                                                               be focused on the retina. The patient
                                                                               is asked to fix the projected star.

                                                                               MADDOX PRISM VERGER

                                                                                  This is an excellent instrument
                                                                               which estimates the vergence power
                                                                               by rotating the prisms.

                                                                                  Extraocular muscle function
                                                                               testing examines the function of
                                                                               the eye muscles. A health care
                                                                               provider observes the movement
                                                                               of the eyes in six specific directions.
                                                                               Some specific instruments are
                                                                               specially designed for eye muscle
                                                                               balance. These instruments are
                                                                               capable of providing the type,
                                                                               amount and angle of squint which
                                                                               certainly helps in diagnosing and
                                                                               managing the case.

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